ASSESSMENT
Subjective Data:
“Nanghihina ang mga paa ko,
nahihirapan akong lumakad at
gumalaw-galaw” as verbalized
by the patient.
Objective Data:
-weak in appearance
-cannot perform ADL’s alone
-with limited ROM
-inability to maintain usu
DIAGNOSIS PLANNING INTERVENTION
Activity intolerance related to At the end of 8 hours of nursing
muscle weakness intervention the client will be
able to participate willingly in
necessary or desired activities
and report used identified
techniques to enhance activity
tolerance.
INDEPENDENT:
-establish the guidelines and
goals activity with the patient
and or SO
-instruct patient plan activities
for times when they have the
most energy
-Assist with activities of daily
living as indicated
-assist to do active ROM
exercises like flexion of both
lower extremities
-assist with activities and
provide client’s assistive device mobility of the patient by
like crutches, walker)
-promote rest and comfort
-set up guidelines and goals o
activity the patient and the SO
EVALUATION
-Motivation and cooperation
are enhanced if the patient
participates in goal setting.
-activities should be planned
ahead to coincide with the
patient’s peak energy level
-supporting the patient with
ADL’s allows for conservation
of energy
-to maximize full strength
-assistive devices enhance the
helping overcome limitations
-to conserve energy
-Goal setting involving
participation of the patient
enhances motivation.